Workshops

Monday June 11

08:30-10:30 (Room Escudo)Workshop: Lung Cytology
Cytomorphology and molecular pathology in lung cancer diagnosticsChairs/Speakers:Cytomorphology of lung cancer: Lara Pijuán, Hospital del Mar. Barcelona, SpainPractical approach to molecular diagnostics on cytology specimens: Sinchita Roy-Chowdhuri, MD Anderson Cancer Center. Houston, USAPitfalls in respiratory tract cytology: Marianne Engels, University Hospital of Cologne. Cologne, Germany
– Following three short introductory talks of ten minutes each in this microscopy workshop there will be ample time for for individual reviewing two teaching slide collections on lung cytology. The collections – deriving from different institutions – demonstrate the broad spectrum of different preparation and staining techniques used in lung cytology. Most of the teaching slides will contain cases of lung cancer and metastases, but there will also be a collection of benign cases with reactive changes sometimes posing difficult diagnostic problems.

Tuesday June 12

08:30-10:30 (Room Escudo)Workshop: Breast CytologyChairs/Speakers:
Luigi Di Bonito, University Trieste. Trieste, Italy
Fabrizio Zanconati, ‎Azienda Ospedaliero-Universitaria di Trieste. Trieste, Italy
– The workshop on breast cytology will include a short lesson with ppt presentation in which the basic morphological features necessary for the cytological diagnosis will be briefly shown. Diagnostic categories will be the centre of the discussion, with all the main features of the most common benign and malignant lesions followed by some useful advices and recommendations.
After this short lesson, a microscope silde-based workshop will follow. We will circulate high quality cytological slides (direct smears, Pap-stained) from our institute of a variety of benign, borderline and malignant breast lesions. Attendants will have the possibility of asking to the tutors for any doubt or clarification and discussing particular cases.

11:00-13:00 (Room Escudo)Workshop: Pancreatic Cytology
Diagnostic approach to pancreatic cytology samplesChairs/Speakers:
Miguel Á. Pérez-Machado, The Royal Free Hampstead NHS Trust. London, UK
M. Jesús Fernández-Aceñero, Hospital Clínico San Carlos. Madrid, Spain
Mauro Ajaj Saiej, Santa Casa Medical School, AC Camargo Cancer Center. Sao Paulo, Brazil
– This workshop provides a systematic approach to the cytological and histologic diagnosis of small tissue samples, including fine-needle aspiration biopsy, cell block samples and core, pinch and forceps biopsies. This work shop provides a practical approach to preparing and assessing pancreatic aspiration, core biopsies and brushing samples. You will have access to glass slides of real common and unique cases with accompanying clinical information and examples of reports as well as resection specimens slides (when possible). Emphasis will be placed on the use of Clinical and radiological context, and new ancillary technique including molecular analysis. You also will have the opportunity to discuss these cases with renowned experts on the subject from 3 different geographic areas (UK, Spain and Brazil) and appreciate the utility of Papanicolaou Society of Cytopathology classification for pancreatic cytology.

15:30-17:30 (Room Comendador)FNA Workshop: Fine Needle Aspiration Cytology Simulation Using Phantoms: Practicing with a ModelChairs/Speakers:
Eduardo Alcaraz, Hospital Universitario Morales Meseguer. Murcia, Spain
Tania Labiano, Complejo Hospitalario de Navarra. Pamplona, Spain
-Introduction & Aims:
Fine needle aspiration (FNA) cytology is a routine diagnostic technique used daily in hospital environments to typify lesions. FNAC a minimally invasive and extremely useful procedure with a low-risk of injury, performed not only by pathologists and radiologists (with ultrasound) but also by endocrinologists, surgeons, internists, among others.
To our knowledge, no other methodology of simulation has been described to date.
Avoiding attempting the procedure on the patient for the first time, we offer a workshop to acquire skill in FNA in different clinical scenarios with cytology and histopathology approach.
Learning objectives :
The attendees will be able to acquire skills in the fine needle aspiration technique on simulated specific clinical scenarios with further diagnosis (cytohistological correlation with digitalized preparations) for a better understanding of the different diseases. Furthermore, participants will be able to learn how to implement this simulation-based methodology in their institutions.
Session description (planned activities):
Each attendee (or more, depending on the number of participants) will be exposed to a clinical experience and individualized scenario that includes anamnesis, physical examination, asepsis/antisepsis, and finally the FNA procedure to obtain optimal material for study. A facilitating teacher accompanies the attendee throughout the procedure and enriches each case with digitized preparations – both cytological smears and biopsies – for an understanding of not only the procedure, but also each disease.
Expected impact:
As a routine diagnostic technique, the acquisition of these skills will be usefull for those attendees who perform this workshop. In addition, an unexpected enrichment in the understanding of different diseases is expected by the participants.
Target audience:
Pathologist, cytopathologist, residents, as well as any cytotechnician can take advantage of learning this skill.
The audience for the workshop is also clinician-educators interested in implementing competency-based medical education models (OSCE methodology is also included) in their institutions (universities, hospitals, simulation centers).
Maximum number of participants: 50.
Approximately, 8-10 minutes per clinical case (15/2 hours). However, simultaneous procedures could take place and also more people could attend as observers.

Wednesday June 13

08:30-10:30 (Room Comendador)Workshop on Cytology Interpretation. Safety-II Team Solutions: No Airplane Crashes/No Diagnostic Errors
Safety-II quality improvement in cytopathology practice using digital imaging, rapid pattern recognition, and teamsChair/Speaker:
Stephen Raab, University of Mississippi, Mississippi, USA
– The daily work of cytopathologists and cytotechnologists largely consists of Safety-II practices that display resilient characteristics such as teamwork, redundancy, continuous education, deliberative practice, and deference to expertise. This workshop combines brief didactic lessons with hands-on simulation practice which augment the use of these Safety-II activities. The simulation activities involve the use of rapid pattern recognition for assessment of sampling quality and fast-thinking diagnostics, development of cytology teams for secondary review and consensus making, and processes to recognize cognitive failures such as biases, individual diagnostic tendencies, and use of expert-based diagnostic resources.

08:30-10:30 (Room Escudo)Workshop: Gynecological Cytology
Glandular lesions in conventional and liquid-based gynecologic preparationsChairs/Speakers:
Ritu Nayar, Northwestern University, Feinberg School of Medicine. Chicago, USA
David Wilbur, Massachusetts General Hospital. Boston, USA
Donna Russell, University of Rochester Medical Center. New York, USA
-Despite limitations of the Pap test for detecting glandular abnormalities, the cytology of glandular epithelium in the female genital tract has assumed greater importance in recent years. Improved sampling of the endocervical canal and an increase in the incidence of endocervical neoplasia has had an impact in detection of these lesions and their mimickers.
This workshop will provide an overview of benign, reactive, and neoplastic glandular lesions in conventional and liquid-based preparations (both ThinPrep and SurePath). The 2014 Bethesda System updates on glandular lesions and differential diagnosis will be reviewed. Pitfalls in glandular lesion interpretation and patient management issues will also be highlighted. Glass slide packets (150+ packets) will contain liquid-based and conventional preparations of glandular lesions of the endocervix, endometrium, and other malignancies for direct comparison of the 3 preparation technologies. Additional slides may be added to each packet as available to include cell block preparations, ancillary testing, and hematoxylin and eosin-stained histologic follow-up. All packets will contain clinical information including patient follow-up. The glass slide material will include cases of atypical glandular cells, AIS, reparative changes, tubal metaplasia, IUD-associated changes, adenocarcinoma (endometrial and endocervical), and metastatic lesions. Additional differential diagnostic material (mimickers, pitfalls, etc.) will be included as relevant. Short powerpoint presentations will be interspersed with the individual microscopic review and the 3 workshop faculty will be available for individual participant questions and discussion during the entire period.

11:00-13:00 (Room Escudo)Workshop: Urine CytologyChairs/Speakers:
Francesc Alameda, Hospital del Mar. Barcelona, Spain
Guliz Barkan, Loyola University Chicago, USA
Pilar González-Peramato, Universidad Autónoma de Madrid. Madrid, Spain
– Urinary tract cytology has notoriously been a difficult subject due to the lack of a standardized reporting system and subjectivity of the diagnostic criteria. The workshop is based on the Paris System of reporting urinary cytology – an international effort to unify and standardize the reporting terminology of urinary tract cytology. The course is designed to address the salient morphological/diagnostic criteria, the morphological pitfalls, and the reporting terminology. Importantly the clinical implications of individual diagnostic categories will be covered, with the associated percentages of risk of development of high-grade urothelial carcinoma.